You are too good sir!

It took me about 10 years to figure out what was wrong with my inability to relax and urinate like I did up until about age 45. I had broken my tail bone when I was younger and It was broken more than once (sports, etc.). Over the years I visited a Chiropractor who x-rayed my spine and asked me if I was aware that I had a tailbone fracture? I said that I was aware but I didn't know that it was split in 3 places and was growing in an outward direction which was not normal. Apparently, scar tissue has grown around the injured area of the tail bone and is somehow pinching-off the nerves way down in my Sacral region of the spine. This has caused me to lose the control of my sphincter muscles to "relax" and allow urine to flow freely out of my bladder. I can hold a lot of urine in my bladder and thankfully a urologist showed me how to "self catheterize" . I have been self-catheterizing for about 25 years now. I am 70 years old and my insurance covers 80% of the cost of the catheters. My doctor monitors my kidney function / condition with blood work (every 6 months) and I haven't had any UTI's for about 10 years or so now. I have thought about finding a surgeon that could cut away the scar tissue from my affected nerves but I don't mind using a catheter. I would not want to risk a surgery that would cause "incontinence". I like controlling when I pee. Sometimes I do wonder if there is a successful surgeon that could do a corrective surgery like this without accidentally cutting a nerve? Anyone know of a problem like this that has been fixed?

I have been paralyzed over a year now and I fell plenty of pain in my bladder also my sciatica pains a lot am a T12 L1

what an awesome lecture.

hi i am scheduled for a fusion of c4-c5 C6 and have been having some bladder issues…. will they likely resolve after the disc fusion ?…. my badder issues have been happening for about a month…. my surgeon ordered spinal CT but i couldn’t get an appointment until Monday

Excellent ! Holly RN

This was so helpful, thank you so much!

very helpful thank you so much but i dont know how to get to the next one

Excellent Explanation. Was searching for this clear stuff for a long time.

I had a major accident and am paralyzed to the right leg, I have bladder retention and according to two scans, there is always 280-300cc left in the bladder. The paralysis was due to a squished nerve in my lower back. My last scan was today, same thing. I should send my urologist this video

AFFECT, not effect

When is video on treatments for bladder available?

Hey my niece by default born has issue we are doing every 4 hour we are doing cic treatment but is it necessary surgery and what’s consequences before and after surgery please let me know asap

Good vid. I got a back injury a few weeks back. For some days now, I've been guessing when to urinate since I'm not getting the nerve signals to do so. Wonder if that heals on its own.

This was amazing!! I was so lost with all of this!

Perfect ❤

Thank you so much.

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Hello prof...am from Ethiopia..I am tetraplegic from C6 complete spinal cord injury with supra sacral neurogenic bladder for 5 years...I have indwelling transurethral catheter...Chronic UTI(poly antimicrobial resistant) is a constant battle.......Intermittent catheterization is not an option here....Am planning on having suprapubic cystostomy...I have both Epidural & sacral stimulators placed 2 years ago in India... Any advice on how to further manage my raging UTI..

Amazing explanation. It's very Useful for my urology residency exams.

Thank you sooooo much ❤❤❤❤❤❤❤

Sem problem me ser

Perfect explanation, short - clear and concisely.

Bro it's "AFFECT THE BLADDER" NOT "EFFECT THE BLADDER" really doctor?

Thank you so much Dr.

Great 👍

Very good explanation

I could use some help. I had a Durel Tear...

I lost my ability to urinate on my own due to Durel Tear. I had surgery in September and now it's February and I still don't have control...

Excellent explanation indeed in this video.

Thank you very much for a very thorough explanation. I had my Bladder removed and a Stoma put in. Big change in life but I am still alive. Best regards.

Excellent video!!! Loved the explanation! i have a question, in the case of of sacral spinal cord injury, from what i understand according to this video, that the injury interrupts the bladder reflex-meaning if urine fills & fills no sensation & no contraction can be felt nor occur. This results in bladder holding lots of urine without the urgency sensation. No detrusor contraction or diminished causing flaccid bladder & stress incontinence occurs. If the urine is also retained in this case, why are there no high bladder pressure or hydronephrosis like the suprasacral SCI? is it just bcs of weak bladder& sphincters? I hope im making sense.

This was really excellent 👍!, Thanks for explaining it so simply.Take care.

D5 d6 d7 complete Injury recovery possible

I am 27 and have spastic diplegia CP and I was wondering if urinary urgency is also neurogenic bladder because I've only heard of bladder retention

Thank you very informative.!

Sir, I'm a paraplegic patient,since 1999,due to spinal injury at D3 section and running 67+yrs. now. I often suffer from catheter block ,UTI& Hematuria . Pl.assure me how I can be survived from these ,

Is it recoverable the sensation?

My dad pees himself

Hello! I hope my answer is not disrrspectful... I know this video refers to people and it's not easy at all to live with it. Now I'm genuinely worried about my male cat who had spinal cord injury back in March 2020 and now is missing. I emptied his bladder manually every single day until Nov 3rd 2021 (and it was usually really full, few times not - maybe he drank less water). Then he got lost this week. I'm not sure if he can pee on his own and I'm worried the bladder might burst if nobody is there to help him. It's not written on him he has this condition. Is there a hope he can empty the bladder on his own now, 1 year 7 months after the injury? Around the time 7:00 in this video, there was something about reflexes coming back after longer time (he can walk and poop on his own, btw). What are the chances of him being still alive 4 days on his own with this condition?? (if I suppose he gets food and water somewhere...) It would be horrible to die in pain from this condition...

Great explanation , but how to cure it

Excellent

Only sacral nerves innervates the bladder? What about the sympathetic innervation (T11 to L2)? They don't have any role in these injuries?? Pls explain.

None

Feel like crying

I had a disc extrusion and sequestration at L5S1 and aside from causing excruciating pain and loss of the ability to walk, I also lost the ability to urinate during that time. I had a microdiscectomy and laminectomy but the weakness and pain in my leg never went away and I was left with urinary retention. . Now I get UTI’s frequently - about 4 a year.

I always feel like i have to pee. Its as if i constantly feel it filling. Mris did show i have 2 bulging discs next to each other in my cervical spine. My neuro didnt think much of it but a chiropractor wanted to fix it. Is it possible this could be causing bladder issues?

I have stenosis of the lumbar and now have lots of issues with burning without infection

Professor... "affect" not "effect" (in the title)

Wooooow 🔥🔥